An investigation of multidisciplinary complex health care interventions – steps towards an integrative treatment model in the rehabilitation of People with Multiple Sclerosis

BMC Complementary and Alternative Medicine

Correspondence

Charlotte Paterson¹  Anette Olsen²  Finn Boesen²  Michael Nissen²  Christina Mortensen²  Kirsten Søndermark²  Mai-Britt Ottesen²  Birthe K Mortensen³  Søren Borch³  Liv Bjerre³  Frank Staalkjær³  Niels Haahr³  Karin Pedersen³  Kirsten Sietam³  Gudrun Aa Rasmussen³  Lasse Skovgaard⁴  Laila Launsø⁵ 

[1] Institute of Health Services Research, Peninsula Medical School, University of Exeter, Exeter, UK;The Danish MS Hospital, Haslev, Denmark;The Danish MS Society, Valby, Denmark;The Danish MS Society, Valby, Denmark;Department of Public Health Research, University of Copenhagen, Copenhagen, Denmark;The National Research Centre on Complementary and Alternative Medicine (NAFKAM), University of Tromsø, Tromsø, Norway;

关键词: CAM;    Multiple Sclerosis;    Interdisciplinary health care;    Program theory;    Intervention theory;    Integrated health care;   

DOI  :  10.1186/1472-6882-12-50

 received in 2012-01-09, accepted in 2012-04-23,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe Danish Multiple Sclerosis Society initiated a large-scale bridge building and integrative treatment project to take place from 2004–2010 at a specialized Multiple Sclerosis (MS) hospital. In this project, a team of five conventional health care practitioners and five alternative practitioners was set up to work together in developing and offering individualized treatments to 200 people with MS. The purpose of this paper is to present results from the six year treatment collaboration process regarding the development of an integrative treatment model.DiscussionThe collaborative work towards an integrative treatment model for people with MS, involved six steps: 1) Working with an initial model 2) Unfolding the different treatment philosophies 3) Discussing the elements of the Intervention-Mechanism-Context-Outcome-scheme (the IMCO-scheme) 4) Phrasing the common assumptions for an integrative MS program theory 5) Developing the integrative MS program theory 6) Building the integrative MS treatment model. The model includes important elements of the different treatment philosophies represented in the team and thereby describes a common understanding of the complexity of the courses of treatment.SummaryAn integrative team of practitioners has developed an integrative model for combined treatments of People with Multiple Sclerosis. The model unites different treatment philosophies and focuses on process-oriented factors and the strengthening of the patients’ resources and competences on a physical, an emotional and a cognitive level.

【 授权许可】

CC BY   
© Skovgaard et al.; licensee BioMed Central Ltd. 2012